retrosternal foreign body

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Hi, Trauma List members:

A 68-year-old female hit by a stray bullet, distance unknown, probably from
a homemade gun, low velocity. Entry at the manubrium. Attached CXR and CT
films. Patient is asymptomatic. Event occurred 2 days ago.

My opinion was that patient could be sent home with outpatient follow up.

Any opinions, suggestions?

Thanks.

Sincerely yours,

Jose Luis J. Danguilan, MD
Division of Thoracic and cV Surgery
Philippine General Hospital
Manila, Philippines
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